The National Association of Clinical Nurse Specialists response to the

The national association of clinical nurse

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The National Association of Clinical Nurse Specialists response to the Institute of Medicine’s the Future of Nursing report. Clinical Nurse Specialist , 26 (4), 222–224. RESPONSE 1 Hello Eric, I agree with you completely that time constraints may be a factor impeding evidenced based- practice implementation. The IOM and committee have envisioned a future in which prevention, wellness and patient-centered care are at the core, but the fact that nurses are overworked due to facilities being understaffed is not addressed. To achieve this, nurses and other healthcare professionals must make it a point to coordinate and collaborate with one another in order to
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achieve caring for the patient in a holistic manner (Coffman, M. J., Goodman, J. H., Thomas, T. L., & Roberson, D. (2013). Both the Robert Wood Johnson Foundation Committee and the IOM have acknowledged the need to transform current nursing practices. Reference Coffman, M. J., Goodman, J. H., Thomas, T. L., & Roberson, D. (2013). The Robert Wood Johnson Foundation Nurse Faculty Scholars Program: An opportunity for junior nurse faculty. Nursing Outlook , 6(1) , 25–30. RESPONSE 2 Hello Kelly, Evidenced-Based practice (EVP) is a problem-solving approach to clinical practice and administrative issues that integrates a systematic search for and critical appraisal of the most relevant evidence to answer a burning clinical question, one's own clinical expertise and patient preferences and values (Melnyk & Fineout-Overholt, 2015). The EBP process is a method that allows the practitioner to assess research, clinical guidelines, and other information resources based on high quality findings and apply the results to practice. Evidence-based practices in action, have shown that EVP is safer, providing better patient outcomes, and increases patient satisfaction scores, leading to the highest possible reimbursement rates by Centers for Medicare & Medicaid Services (CMS). Reference Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd.). Philadelphia: Wolters Kluwer Health RESPONSE 3 Hello Kristi, I agree with you completely in that facilities that use evidenced-based practices is safer, providing better patient outcomes, and increases patient satisfaction scores, leading to the highest possible reimbursement rates by Centers for Medicare & Medicaid Services (CMS). Whether it is the concept of hourly rounding or handwashing, evidence-based practices that are consistently implemented have proven to be beneficial in quantifiable ways. Moving forward as bachelors prepared nurses it behooves us to adopt a form of providing patient-centered care that encompasses evidence-based interventions (Melnyk & Fineout-Overholt, 2015). Evidence-based practice is a conscientious, problem-solving approach to clinical practice that incorporates the best evidence from well-designed studies, patient values and preferences, and a clinician's expertise in making decisions about a patient's care.
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Reference Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd.). Philadelphia: Wolters Kluwer Health
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